Individual
SYDNEY CHAPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
421 MEMORIAL DR, POCATELLO, ID 83201-4008
(208) 269-6134
Mailing address
4170 HAWTHORNE RD APT A103, POCATELLO, ID 83202-2708
(303) 856-4421
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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